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Epic Code LAB2111445 Protein Electrophoresis, Random Urine, do IFE if Indicated

Test Name Alias

Protein Electrophoresis Urine Random, do IFE if Indicated | upep | urine immunofix | SHO8859 | 1230101089

Interface Order Alias

11510

Quick Collect

Random/R

Clinical Information

Test reported with pathologist interpretation. For guidance on ordering protein and urine electrophoresis, please refer to Orders- Protein Orderable Changes. 

Collection Instructions

Specimen Collection: Urine, Random

 

Container(s): Sterile Urine Cup (with lid)

Preferred Volume to Collect: 50.0 mL

Minimum Volume to Collect: 25.0 mL

Neonate Volume to Collect: 25.0 mL

 

Collection Instructions:

Transport Temperature: Refrigerate

Specimen Stability

Refrigerate: 7 days

Laboratory Retention: 72 hours

Reflex Information

Reflex approved by Medical Executive Committee. Please see link: Reflex Testing Document

Test Frequency

Available Monday – Friday, TAT up to 5 business days depending on if the specimen needs additional testing.

Reference Range

Normal pattern.

No reference range established for urine total protein on random urine specimens.

Performing Department

Chemistry and Immunochemistry

Performing Department Laboratory Location

Corewell Health Reference Laboratory, Grand Rapids, MI

Methodology

agarose gel electrophoresis

CPT

84166 x2  for Urine protein electrophoresis : Technical and Professional billing
86335 x 2 for reflex Urine immunofixation: Technical and Professional billing

CDM Code

3018416601, 84166

Epic Test ID

1230101089

LOINC

Urine protein mg/dL: 2888-6
Random Urine protein electrophoresis interpretation in Pathologist Interpretation field: 13438-7
Random Urine immunofixation in Pathologist Interpretation field: 13440-3

Mayo Access Code

SHO8859

Reviewed Date

3/24/2025

Orderable Regions

Southwest; West